Document Detail


Uncommon atrial flutter: characteristics, mechanisms, and results of ablative therapy.
MedLine Citation:
PMID:  9826854     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty-seven patients with atrial flutter were studied with catheter mapping and radiofrequency ablation. Uncommon atrial flutter occurred in 20 out of 37 (54%) patients. Atrial endocardial mapping showed two types of uncommon atrial flutter. In 15 patients (group I) it was characterized by a single clockwise circuit whereas in 5 patients (Group II) it was characterized by the presence of more than one circuit and/or localized atrial fibrillation. RFA ablation was acutely successful in 14 out of 15 patients (93%) in Group I and in 2 out of 5 (40%) patients in Group II. On long-term follow-up a significantly larger number of patients in Group I versus Group II (86% vs 20%) remained free of atrial flutter recurrence. We conclude that uncommon atrial flutter is a heterogeneous entity involving one or more reentrant circuits. Uncommon atrial flutter with multiple circuits may not be suitable for RFA.
Authors:
J A Gomes; F Santoni-Rugiu; D Mehta; N M Langan; S O Marx; H Nayak
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  21     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1999-01-22     Completed Date:  1999-01-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2029-42     Citation Subset:  IM    
Affiliation:
Department of Medicine, Mount Sinai Medical Center, New York, New York, USA. ANTHONY GOMES@smtplink.mssm.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Atrial Fibrillation / pathology,  physiopathology,  surgery
Atrial Flutter / pathology,  physiopathology*,  surgery,  ultrasonography
Body Surface Potential Mapping
Bundle of His / physiopathology
Catheter Ablation*
Echocardiography
Electrocardiography
Endocardium / innervation
Female
Follow-Up Studies
Heart Atria / innervation,  ultrasonography
Heart Conduction System / physiopathology,  surgery
Humans
Longitudinal Studies
Male
Middle Aged
Recurrence
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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